Active NPI
Samantha Shuman, RBT
- Behavior Technician
- Sterling, IL
National Provider Identifier
1487144200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-55546.
- Practice address
- 1626 29TH PL
Sterling, IL 61081-4105 - Phone
- (815) 535-3583
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-55546. | IL | Primary |
Addresses
Primary practice location
1626 29TH PL
Sterling, IL 61081-4105
Mailing address
1626 29TH PL
Sterling, IL 61081-4105
Phone (815) 535-3583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-55546. | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1487144200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 29TH PL",
"city": "STERLING",
"state": "IL",
"postal_code": "610814105",
"telephone_number": "815-535-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 29TH PL",
"city": "STERLING",
"state": "IL",
"postal_code": "610814105",
"telephone_number": "815-535-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAN",
"first_name": "SAMANTHA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "18-55546.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.